Susan Aiello, NP
Individual provider Active NPI Adult Health Nurse Practitioner · Stony Brook, NY
NPI 1992917819 · NPPES record last updated Aug 14, 2007
Key facts
- NPI
- 1992917819
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 5499577 (NY)
- Practice address
- Stony Brook Dept of Radiology
HSC Level 4, Room 120
Stony Brook, NY 11794-8460 - Phone
- (631) 444-2426
- Fax
- (631) 444-7538
- NPI assigned
- May 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5799828 | NY | MD | Registered Nurse |
| 5499577 | NY | MD | Adult Health Nurse Practitioner |
| F381289 | NY | MD | Pediatric Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 5799828 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | 5499577 | NY | Yes |
| Pediatric Nurse Practitioner | 363LP0200X | F381289 | NY |
Addresses
Primary practice location
Stony Brook Dept of Radiology
HSC Level 4, Room 120
Stony Brook, NY 11794-8460
Mailing address
Stony Brook Dept of Radiology
HSC Level 4, Room 120
Stony Brook, NY 11794-8460
Phone (631) 444-2426
Other providers in Stony Brook, NY
- Jongkoo Ahn
- Julia Sungeun Ahn
- Nicholas Junhyuk Ahn
- Suhyun Ahn
- Muhammad Ahsan
- Danyaal Ain
- Krystal Danielle Airola
- Samuel Akhnoukh
- Ehab Al Bizri
- Omer Ibrahim Mahdi Al Najafi
All providers in Stony Brook, NY · Adult Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.